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Individual

RICHARD E OWENS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
705 CHESTERFIELD RD., CHERAW, SC 29520-1237
(843) 537-7711
(843) 537-9582
Mailing address
PO BOX 1237, CHERAW, SC 29520-1237
(843) 537-7711
(843) 537-9582

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
616
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DO6161
SC
Enumeration date
05/08/2006
Last updated
07/08/2007
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